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General NPI Number Information
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NPI Number | 1831996768
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Entity Type | Individual
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Provider Name | MARIA E CARRION-GOMEZ LPC
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Gender | Female
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 903 W MARTIN ST # MS 49-2
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City | SAN ANTONIO
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State | TX
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Zip | 78207-0903
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Country | US
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Telephone | 210-358-8255
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Fax | 210-644-8625
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Provider Business Mailing Address
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Address Line | 903 W MARTIN ST
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City | SAN ANTONIO
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State | TX
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Zip | 78207-0903
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Country | US
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Telephone | 210-358-5909
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 19912
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License Number State | TX
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